| 王 标,唐流刚,吴晓惠,程远东,唐浩琛.注射器针头划拨法治疗儿童拇指狭窄性腱鞘炎的临床疗效及与病程的关系[J].,2020,(14):2732-2735 |
| 注射器针头划拨法治疗儿童拇指狭窄性腱鞘炎的临床疗效及与病程的关系 |
| Clinical Effect of Syringe Needle Allocation Method in the Treatment of Stenosing Tenosynovitis of Thumb in Children and Its Relationship with the Course of Disease |
| 投稿时间：2019-12-08 修订日期：2019-12-31 |
| DOI：10.13241/j.cnki.pmb.2020.14.029 |
| 中文关键词: 注射器针头划拨法 儿童 拇指狭窄性腱鞘炎 疗效 病程 |
| 英文关键词: Syringe needle allocation method Children Stenosing tenosynovitis of thumb Curative effect Course of disease |
| 基金项目:四川省干部保健科研项目（2018-605） |
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| 中文摘要: |
| 摘要 目的：探讨注射器针头划拨法治疗儿童拇指狭窄性腱鞘炎临床疗效，分析病程长短与治疗效果的相关性。方法：纳入2015年4月至2018年10月于我院治疗的拇指狭窄性腱鞘炎患儿59例，根据患儿发病时间分为短程组（发病时间≤6个月，n=28）和长程组（发病时间>6个月，n=31），所有患儿采用7#注射器针头划拨法进行治疗，术后1个月及6个月门诊复查并评定临床疗效，观察记录是否残留屈曲挛缩，触发弹响感、主动屈伸拇指指间关节活动度改善情况及术后并发症情况，分析两组患儿病程与治疗效果相关性，记录术后随访结果。结果：短程组治疗有效率为96.43%，长程组治疗有效率为93.55%，两组有效率比较无统计学差异（P>0.05）。术后1个月及6个月复查56例患儿均成功解除屈曲挛缩畸形，主动屈伸拇指指间关节活动度改善情况满意，触发激痛点消失，后续随访6～46个月未见复发，未愈的3例患儿经外科手术治疗后达到治愈效果。两组患儿病程长短与治疗效果不存在线性相关性（P>0.05）。结论：注射器针头划拨法治疗儿童拇指狭窄性腱鞘炎临床疗效确切，治疗器械普通，创口小，简单易行，在治疗病程大于6个月的儿童拇指狭窄性腱鞘炎也能取得较满意的临床疗效。 |
| 英文摘要: |
| ABSTRACT Objective: To explore the clinical effect of syringe needle allocation method in the treatment of stenosing tenosynovitis of thumb in children, and to analyze the correlation between the course of the disease and the therapeutic effect. Methods: 59 cases of stenosing tenosynovitis of thumb treated in our hospital from April 2015 to October 2018, according to the time of onset, children were divided into short-term group (onset time less than 6 months, n=28) and long-term group (onset time more than 6 months, n=31). All children were treated with needle allocation method of 7# syringe, outpatient review and evaluation of clinical efficacy 1 month and 6 months after operation. To observe and record whether there were residual flexion contracture, trigger sensation, active flexion and extension of the thumb interphalangeal joint motion improvement and postoperative complications. The correlation between course of disease and therapeutic effect were compared between the two groups, and the results of follow-up after operation were recorded. Results: The effective rate of short-term group was 96.43%, and that of long-term group was 93.55%, there was no significant difference between the two groups (P>0.05). 56 children were reexamined 1 month and 6 months after operation, and the flexion contracture deformity was successfully relieved, the activity of active flexion and extension of thumb interphalangeal joint was improved satisfactorily, the trigger pain point disappeared, no recurrence was observed during follow-up for 6 to 46 months, 3 cases of children who were not cured were cured after surgical treatment. There was no linear correlation between the duration of disease and therapeutic effect in two groups (P>0.05). Conclusion: The syringe needle allocation method is effective in the treatment of stenosing tenosynovitis of thumb in children. It has the advantages of common instruments, small wounds and simple operation. It can also achieve satisfactory clinical effect in the treatment of stenosing tenosynovitis of thumb in children whose course of disease is more than 6 months. |
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